LIMITED COMPANY REGISTRATION Complete the information below to form your new limited company. Title * Mr Mrs Miss Ms Dr Name * First Name Last Name Email * Phone * (###) ### #### Information about the New Company Company Name * Company Registered Office Address * Please provide full address with postcode for the company registered office address Address 1 Address 2 City State/Province Zip/Postal Code Country What would best describe your new business activities? * Total Number of Authorised Shares * Beneficial Owners & Directors Complete this section for each shareholder / director Person 1 * First Name Last Name Is this person: * Select all that apply Director Shareholder Person of SIgnificant Control Secretary Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Date of Birth * MM DD YYYY National Insurance Number * Occupation * Nationality * First 3 Letters of Mothers Maiden Name * First 3 Letters of Fathers First Name * No. of Shares to be issued * Person 2 First Name Last Name Is this person: Select all that apply Director Shareholder Person of SIgnificant Control Secretary Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Date of Birth MM DD YYYY National Insurance Number Occupation Nationality First 3 Letters of Mothers Maiden Name First 3 Letters of Fathers First Name No. of Shares to be issued Person 3 First Name Last Name Is this person: Select all that apply Director Shareholder Person of SIgnificant Control Secretary Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Date of Birth MM DD YYYY National Insurance Number Occupation Nationality First 3 Letters of Mothers Maiden Name First 3 Letters of Fathers First Name No. of Shares to be issued Thanks for completing the Limited Company Registration FormWe will now begin the company incorporation process and will be in touch if we need any more information from you.